Stephen D. Cagle, Jr, Hannah Hornsby, Justin J. Chin
Up to 50% of children experience recurrent episodes of wheezing by age 5 years. The differential diagnosis varies depending on age of onset. Chest radiography is the recommended initial imaging study for those who have recurrent episodes without a clear etiology.
Amy Wiser, Jeffrey D. Quinlan
The American Cancer Society and US Preventive Services Task Force (USPSTF) endorse three strategies for cervical cancer screening: cytology alone, cotesting, and primary HPV screening; primary HPV screening is preferred in current guidelines and the USPSTF draft recommendation.
Raman Nohria, Andrew Romaine, Gabryel Garcia-Sampson
Endocarditis should be considered in any patient with fever or sepsis of unknown origin. Empiric intravenous antimicrobial therapy, infectious source control, and expert consultation are mainstays of initial treatment.
Jason Wilbur, Valery L. Tran, Marc F. Doobay
Neck masses in adults are mostly benign, but malignancy must be considered. Accurate and timely diagnosis of malignant masses is based on acuity (ie, acute [eg, infection], subacute [eg, malignancy], and chronic [eg, congenital, thyroid]), history, physical examination, and...
Joseph Coppiano, Mark Carrasco, Irfan Asif
This review focuses on nonischemic cardiomyopathies, covering classification, evaluation, management strategies, and guideline updates. Key topics include hypertrophic, arrhythmogenic, dilated, restrictive, peripartum, and takotsubo cardiomyopathies, with recommendations for...
Diana T. Trang, Emily C. Buck, Daniel T. Schoenherr
The diagnosis of impetigo is based primarily on clinical examination and should be suspected in patients with erythematous papules that progress to ruptured vesicles or bullae over 4 to 6 days. Topical mupirocin 2% ointment is first-line treatment for mild, nonbullous and...
Maya Bass, Rebecca E. Kasper
“Do the best you can until you know better.
Tamim Rajjo, Dima Bechenati, Diana B. Collantes Hoyos, Meera Shah
Obesity remains a major challenge in primary care. By 2030, it is projected that nearly one-half of adults in the United States will have obesity (body mass index of at least 30 kg/m2), and one-fourth will have severe obesity (body mass index of at least 35 kg/m2).1 Weight...
Megan D. Rodgers, Michael D. North
Study Population: 12 parallel randomized controlled trials with 8,760 adult outpatients taking nonsteroidal anti-inflammatory drugs (NSAIDs) for more than 4 weeks across multiple centers and nations; patients received proton pump inhibitors (PPIs) for prevention of NSAID...
Should brexpiprazole be used in the treatment of patients with behavioral disturbance in Alzheimer disease? | Can antimüllerian hormone be used to diagnose PCOS? | Is ultrasound guidance necessary for treatment of carpal tunnel syndrome with injected corticosteroids? | Can...
Karl T. Clebak, Makayla Lagerman, Zakary Newberry
In adults, does adhering to the Dietary Approaches to Stop Hypertension (DASH) diet reduce rates of cardiovascular events (eg, myocardial infarction [MI], stroke) or all-cause mortality compared with usual diet or other dietary interventions?
Jeffrey Leggit, Brayson Pawelczyk
Are nonpharmacologic and nonsurgical treatment options safe and effective for nonspecific acute or chronic low back pain?
Annette Chavez
A middle-aged woman presents after a hysterectomy that was complicated by a postoperative aortic thrombus. She tested positive for factor V Leiden sequence variation; she has a family history but tested negative 10 years ago. The hospitalist told her that the test is now more...
Richard Guthmann, Adam Korte, Robert Martin
In patients with established atherosclerotic cardiovascular disease (ASCVD), should oral cholesterol medications be dosed to achieve a specific low-density lipoprotein cholesterol (LDLC) level or given as a fixed dose according to the patient's risk profile?
Michael L. Grover, Jyoti Gurung, Erwin A. Kruger
An active 81-year-old woman was evaluated 3 days after injuring her right hand while playing pickleball. After hitting the ball with extra force, she had immediately felt pain over the dorsum of her right hand. She then noticed progressive swelling of the affected area over...
Tracy Williams, Taylor Russell, Kristina Chaffee Khant
A 4-month-old female infant presented for a well-child visit. Her parents were concerned about the left side of her face. Since birth, she had an asymmetrical smile, and her left eye could not be closed and had excessive tear production. She was otherwise healthy and met all...
David Slawson
Mark H. Ebell
Allen F. Shaughnessy
Mark H. Ebell
Michael J. Arnold
Tinnitus, the perception of sound without an external source, can be constant or intermittent and is most often secondary to auditory system damage. Patients with tinnitus can describe ringing, buzzing, hissing, sizzling, roaring, chirping, or other sounds. One in five people...
Michael J. Arnold
Migraine headaches are common throughout the world. The International Headache Society (IHS) published guidelines for acute migraine medical treatment.
Diana Ly-Liu, José-Luis Andréu, Domingo Ly-Pen
Richard Temple
Ha Rio, Naomi Malam, Derek Nguyen
The cervix is the lowest part of your uterus or womb where it joins the vagina. It allows for bleeding during your period and opens to let the baby out during birth. It is pink and the size of a coin. Cancer can develop in the cervix.
Incorrect drug information. “Mastitis: Rapid Evidence Review” (August 2024, p. 174) incorrectly listed amoxicillin as a treatment for bacterial mastitis in Table 5. The online version of the article has been corrected.
All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.
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